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CPT Editorial Panel Considers the Establishment of MACRA-related Modifiers at June 2017 Meeting

April 10, 2017

McDermott+Consulting

The American Medical Association (AMA) CPT® Editorial Panel posted the Proposed Agenda for the June 2017 Panel Meeting. Included on the agenda are two MACRA-related coding proposals.

Patient Relationship Modifiers: This is a proposal to create 5 modifiers to describe the clinician relationship to the patient.  The MACRA statute requires the establishment and use of care episode and patient condition groups; and patient relationship categories and codes in the support of the implementation of the Cost Performance Category.

APM Modifiers: This is a proposal to create two modifiers to identify procedures or services provided under an Alternative Payment Model.

The Proposed Agenda for the June 2017 CPT Editorial Panel meeting is available here.

More information on the CPT Editorial Panel is available here.


For more information visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459 or smadhani@mcdermottplus.com.

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